Basics of oral surgery stuff

Question 1

What are some common indications for dental extractions?

Answer 1

caries, pulpal/apical pathology, perio, fractures

Question 2

When would you consider extraction for a carious tooth?

Answer 2

if there is severe loss of tooth structure and the tooth is unrestorable

Question 3

Are the teeth that need extraction due to gross caries always painful?

Answer 3

no they can be asymptomatic

Question 4

When would you consider extraction for a tooth with pulpal or apical pathology?

Answer 4

if RCT is not appropriate or successful, or if a patient would prefer that option

Question 5

What are the two treatment options once pulp is infected or there is periapical pathology?

Answer 5

extraction or RCT

Question 6

What is an example of something that would make it extremely difficult to do an RCT?

Answer 6

a markedly curved root

Question 7

When would you consider extraction for teeth affected by periodontal disease?

Answer 7

if the teeth become so mobile and/or painful that function is impaired or the patients would like an aesthetic improvement

Question 8

When would you consider extraction for teeth that are fractured?

Answer 8

if the fracture is not restorable

Question 9

When would you consider extraction of teeth when the mandible is fractured?

Answer 9

if the tooth is in the fracture line and may be in the way of correctly repositioning the bones

Question 10

When would you consider extraction for teeth affected by non carious tooth surface loss?

Answer 10

to improve aesthetics, if function is impaired, or if the teeth are symptomatic

Question 11

When would you consider extraction of teeth when there is soft tissue trauma?

Answer 11

if the teeth traumatise the soft tissues, they may need to be removed to improve patient symptoms

Question 12

What is the most common occasion when teeth are extracted because they are causing soft tissue trauma?

Answer 12

buccally placed upper 8’s can traumatise the cheek or the gum lying over the partially errupted lower 8’s

Question 13

What is the name for the gum that overlies partially errupted wisdom teeth?

Answer 13

operculum

Question 14

What are the four types of supernumerary teeth?

Answer 14

conical, tuberculate, supplemental, odontome

Question 15

What do we mean by a conical supernumerary?

Answer 15

a cone shaped extra tooth

Question 16

What do we mean by a tuberculate supernumerary?

Answer 16

a barrel shaped extra tooth

Question 17

What do we mean by a supplementary supernumerary?

Answer 17

just an extra tooth

Question 18

What do we mean by an odontome supernumerary?

Answer 18

a tooth-like mass

Question 19

When would you consider extraction for supernumerary teeth?

Answer 19

the potential to impede eruption, displace permanent teeth, cause root resorption

Question 20

What is the most common supernumerary?

Answer 20

a conical tooth between upper centrals

Question 21

What are impacted teeth?

Answer 21

teeth that do not reach functional occlusion

Question 22

When would you consider extraction for impacted teeth?

Answer 22

if they cause root resorption, bone loss around adjacent teeth, develop cystic change

Question 23

When is the most common situation to extract impacted teeth?

Answer 23

wisdom teeth that are developing symptoms of pericoronitis

Question 24

Aside from wisdom teeth, what are the second most common impacted teeth?

Answer 24

upper canines

Question 25

When would you consider extraction of teeth for orthodontic purposes?

Answer 25

to create space so teeth can be aligned

Question 26

When would you consider extraction pre-orthognathic surgery?

Answer 26

to allow jaw movements to be made more predictably without unerupted wisdom teeth being in the way

Question 27

When would you consider extraction of teeth as part of treatment for systemic disease?

Answer 27

pre-radiotherapy and pre-bisphosphonate treatment due to risk of osteoradionecrosis/medication-related osteonecrosis of the jaw, as part of resection of a tumour